SCREVEN COUNTY HOSPITAL, LLC (NPI# 1770822066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770822066 |
| Entity Type | Organization |
| Organization Name | SCREVEN COUNTY HOSPITAL, LLC |
| Other Organization Name | OPTIM SURGICAL ASSOCIATES - SYLVANIA |
| Practice Address |
102 Rocky Ford Rd Sylvania GA 30467 |
| Mailing Address |
210 East Derenne Avenue Attn.: Provider Enrollment Savannah GA 31405 |
| Practice Telephone | 8008276536 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126441626 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. ROBERT GUENTHNER (SECRETARY OF SCREVEN COUNTY HOSPITA) |
| Authorized Official Telephone | 3126278247 |
| Is Organization Subpart | Y |
| Parent Organization Name | SCREVEN COUNTY HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Surgical Associates - Sylvania | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376897124 | Screven County Hospital, LLC | Occupational Therapist | 209a Mims Rd, Sylvania, GA 30467 | 2012-11-01 |
| 1225339898 | Screven County Hospital, LLC | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2010-11-12 |
| Street Address |
102 ROCKY FORD RD |
| City | SYLVANIA |
| State | GA |
| Zip Code | 30467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1568885853 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 102 Rocky Ford Rd, Sylvania, GA 30467-2044 | 2014-01-23 |
| 1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884237 | Rachel Oglesby Edenfield | Nurse Practitioner | 1235 Edenfield Road, Sylvania, GA 30467 | 2017-11-06 |
| 1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
| 1205195476 | Aacademy Adult Day &seniorliiving Facilityllc | Custodial Care Facility | 168 Davedeharahara Dr, Sylvania, GA 30467 | 2012-05-09 |
| 1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
| 1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
| 1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
| 1891337572 | Allan Kipngeno | Pharmacist | 305 W Ogeechee St, Sylvania, GA 30467 | 2019-10-14 |
| 1376897124 | Screven County Hospital, LLC | Occupational Therapist | 209a Mims Rd, Sylvania, GA 30467 | 2012-11-01 |
| 1366089062 | East Georgia Healthcare Center Inc | Clinic/Center | 121 N Main St, Sylvania, GA 30467-1818 | 2019-12-02 |
| 1003271990 | Christopher Lee Griner | Pharmacist | 127 N Main St, Sylvania, GA 30467-1818 | 2015-12-21 |
| Find all providers in zip 30467 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1619970548 | Patrick W. White | Surgery | 5700 Monroe St Unit 101, Sylvania, OH 43560-2779 | 2005-05-24 |
| 1659374502 | Joseph J Sferra | Surgery | 5700 Monroe St Unit 106, Sylvania, OH 43560-2779 | 2005-05-24 |
| 1912900036 | Peter F Klein | Surgery | 5700 Monroe St Unit 210, Sylvania, OH 43560-2737 | 2005-05-23 |
| 1831526730 | Promedica Central Physicians LLC | Surgery | 5308 Harroun Rd, Suite 180, Sylvania, OH 43560-2114 | 2013-10-09 |
| 1699113449 | Chandan Das | Surgery | 5700 Monroe St Unit 106, Sylvania, OH 43560-2779 | 2013-06-13 |
| 1801232202 | Sarah Nicole Pratt | Surgery | 5700 Monroe St Unit 101, Sylvania, OH 43560-2779 | 2013-05-13 |
| 1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1689950594 | Screven County Family Health Center, LLC | Surgery | 215 Mims Rd, Suite 209-c, Sylvania, GA 30467-1994 | 2011-10-25 |
| 1851557052 | Albert Weijeich Tsang | Surgery | 5800 Monroe St, Building G, Sylvania, OH 43560-2263 | 2008-08-06 |
| Find all providers in SYLVANIA | ||||
Please comment or provide details below to improve the information on SCREVEN COUNTY HOSPITAL, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.